BRAD LANCE JENSEN

CHEHALIS, WA
NPI1972060978
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60185873)
Enumeration Date2019-02-26
Last Update Date2019-02-26
Business Address
Mr. BRAD LANCE JENSEN CDP
500 SE WASHINGTON AVE
CHEHALIS, WA 98532-3058
Phone number: 360-748-4776
Mailing Address
Mr. BRAD LANCE JENSEN CDP
500 SE WASHINGTON AVE
CHEHALIS, WA 98532-3058
Phone number: 360-748-4776
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